Structure and Schedule

3+1 Block Schedule

Our program adopted an X+Y schedule in July 2014, with three weeks of inpatient or subspecialty rotations (X block) followed by one week of ambulatory and continuity clinic (Y block). In this system, residents will experience:

• The ability to fully immerse in a rotation rather than overlapping experiences
• PGY1 and PGY3s will have a golden weekend every 4 weeks, free of call
• Ambulatory block will have 6 to 8 half days of continuity clinic as well as our ambulatory lectures and our simulation session 

Hospitalist Teaching Service (HTS)

Our Hospitalist Teaching Service (HTS) was established to meet our patients' needs while offering an exceptional training experience for our residents. Our dedicated teaching faculty are experts in medical education, offering precise feedback and mentorship to our residents. Historically, we have surpassed other non-teaching services across the city in terms of quality and population health metrics. 

Meet our Faculty

The HTS team structure includes three teams (A, B, and C), each comprising an attending physician, senior and junior residents, a pharmacist, and medical students. Teams follow a structured rounding schedule, with each team on call every third day, averaging 12-hour call days and 8-hour non-call days. Additionally, a night float system operates seven days a week to ensure continuous patient care. Responsibilities are clearly defined for each role, ensuring efficient patient care and education. Key practices include the I-PASS methodology for handoffs, a patient cap to manage workload, and a focus on evidence-based teaching during rounds. The attending hospitalist oversees team coordination, promotes a culture of safety, and ensures effective communication and collaboration among team members.

Weekly Didactic

The following conferences and rounds provide residents with ample opportunity to discuss clinical cases, review evidence-based care guidelines, and learn from senior faculty.

• Monday Specialty Lectures: Internal Medicine Specialty experts present updated clinical topics in their respective fields.
• Tuesday Morning Report: A master Clinician dissects cases with the residents. This series is designed to train residents on proper clinical reasoning and grow the skill of developing a differential diagnosis.
• Wednesday CPSC: Clinical Pathological Scholar Conference also known as CPSC, is a weekly conference presented by internal medicine residents to house staff and faculty. It is a case-based method of learning medicine by problem-solving approach followed by a literature review of the topic presented. It is a resident moderate activity with CME credit.
• MKSAP Fridays: Board review curriculum sessions presented by second- and third-year residents, develop both learning and teaching skills.

Grand Rounds

House staff and faculty attend the weekly Department of Medicine Grand Rounds each Wednesday morning. Grand Rounds are an integral component of medical education, teaching new information and enhancing clinical reasoning skills.

Morbidity Mortality Conference

One of the chief residents presents a case from a recent patient. This conference emphasizes our role in improving patient care and the quality of medical education.

Pharmacy Lectures

Pharmacy residents present a monthly conference on evidence based pharmacological topics such as antibiotic stewardship and many others.

Chest Conference

This unique didactic occurs on the second Thursday of each month. Pulmonologists present cases to be discussed with radiologists, pathologists, and cardio-thoracic surgeons. Residents get to experience a true multidisciplinary approach to patient care.

Journal Club

Held every third Thursday of the month, journal club is an important learning tool for critically appraising articles and keeping up to date with the current literature. Depending on the topic of the article, a corresponding specialist moderates the session.

Medical-Surgical Conference

In an effort to promote multidisciplinary care and learning, this monthly conference series presents topics key to both Internal Medicine and Surgery. Both surgical and medical residents and attendings discuss the presented cases.

Hospitalist Lectures

Teaching hospitalists present a variety of topics to residents every other Friday. These conferences focus on inpatient care topics and draw on the experience of the hospital medicine faculty.

Population Health Lectures

Presented by a population health and information technology executive, this lecture series aims to educate the residents and house staff on the large-scale social, economic, and environmental issues that impact health outcomes of large groups of people.